MATHER FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CORP
NPI 1598607269
Internal Medicine - Gastroenterology in Port Jefferson Station, NY

Active since April 09, 2026
1500 ROUTE 112 BLDG 5, PORT JEFFERSON STATION, NY 11776(631) 828-3400(631) 828-3244 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2026, Apr 9, 2026 (2 updates tracked since 2026).

About Mather Faculty Medical Affiliates, University Faculty Practice Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATHER FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CORP (NPI 1598607269) is a healthcare organization registered as a gastroenterology in Port Jefferson Station, New York and active in the NPI registry since April 2026. The organization maintains 6 additional practice locations and lists Sharlene Bronstorph, Director, as its authorized official.

NPPES Registry Identity

NPI1598607269
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMATHER FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CORP
Location Address1500 ROUTE 112 BLDG 5Port Jefferson Station, NY 11776-8055
Mailing Address101 Nicholls RoadStony Brook, NY 11794-0001 · (631) 689-8333 · Fax (631) 751-5971
Fax(631) 828-3244
Organization SubpartNo
Authorized OfficialSharlene BronstorphDirector · (516) 850-3999
Enumeration DateApril 9, 2026
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1598607269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X
1500 ROUTE 112 BLDG 5, Port Jefferson Station, NY 11776

Secondary Practice Locations 6

Location 170 N Country Rd Ste 101Port Jefferson, NY 11777-2161 · Phone (631) 978-7700 · Fax (631) 751-5971
Location 275 N Country RdPort Jefferson, NY 11777-2119 · Phone (631) 473-1320 · Fax (631) 751-5971
Location 36144 Route 25A Ste D21Wading River, NY 11792-2018 · Phone (631) 751-8700 · Fax (631) 751-5971
Location 4200 Belle Terre RdPort Jefferson, NY 11777-1928 · Phone (631) 474-6000 · Fax (631) 751-5971
Location 53001 Expressway Dr N Ste 102Islandia, NY 11749-5301 · Phone (631) 751-8700 · Fax (631) 751-5971
Location 6271 Route 25A Ste 1Wading River, NY 11792-2014 · Phone (631) 751-8700 · Fax (631) 929-1762

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mather Faculty Medical Affiliates, University Faculty Practice Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Mather Faculty Medical Affiliates, University Faculty Practice Corp, which bills Medicare for the services they deliver. Of these, 14 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Gastroenterology11
Nurse Practitioner4

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1205554375
3400 NESCONSET HWY STE 101
Setauket, NY 11733
(631) 751-8700
✔ PECOS✔ Accepts Medicare3.0 mi
Gastroenterology
NPI 1205892205
3400 NESCONSET HWY SUITE 101
East Setauket, NY 11733
(631) 751-8700
✔ PECOS✔ Accepts Medicare3.0 mi
Gastroenterology
NPI 1407813579
3400 NESCONSET HWY SUITE 101
East Setauket, NY 11733
(631) 751-8711
✔ PECOS✔ Accepts Medicare3.0 mi
Gastroenterology
NPI 1386025385
3400 NESCONSET HWY STE 101
East Setauket, NY 11733
(631) 751-8700
✔ PECOS✔ Accepts Medicare3.0 mi
Gastroenterology
NPI 1861459208
3400 NESCONSET HWY SUITE 101
East Setauket, NY 11733
(631) 751-8700
✔ PECOS✔ Accepts Medicare3.0 mi
Gastroenterology
NPI 1497713887
3400 NESCONSET HWY SUITE 101
East Setauket, NY 11733
(631) 751-8700
✔ PECOS✔ Accepts Medicare3.0 mi
Gastroenterology
NPI 1881765014
3400 NESCONSET HWY STE 101
East Setauket, NY 11733
(631) 751-8700
✔ PECOS✔ Accepts Medicare3.0 mi
Gastroenterology
NPI 1871551879
3400 NESCONSET HWY SUITE 101
East Setauket, NY 11733
(631) 751-8700
✔ PECOS✔ Accepts Medicare3.0 mi
Gastroenterology
NPI 1740423755
3400 NESCONSET HWY STE 101
East Setauket, NY 11733
(631) 751-8700
✔ PECOS✔ Accepts Medicare3.0 mi
Gastroenterology
NPI 1508823600
3400 NESCONSET HWY SUITE 101
East Setauket, NY 11733
(631) 751-8700
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1184410672
8 TECHNOLOGY DR
East Setauket, NY 11733
(631) 751-8700
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1003944943
3400 NESCONSET HWY STE 101
East Setauket, NY 11733
(631) 751-8700
✔ PECOS✔ Accepts Medicare3.2 mi
Gastroenterology
NPI 1376034447
8 TECHNOLOGY DR STE 101
Setauket, NY 11733
(631) 751-8700
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1447775747
45 ROUTE 25A STE C
Shoreham, NY 11786
(631) 744-3303
✔ PECOS✔ Accepts Medicare7.2 mi
Gastroenterology
NPI 1437470283
725 ALBANY ST SHAPIRO 5, SUITE B
Boston, MA 02118
(617) 414-5951
✔ PECOS✔ Accepts Medicare141 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mather Faculty Medical Affiliates, University Faculty Practice Corp's NPI number?

The NPI number for Mather Faculty Medical Affiliates, University Faculty Practice Corp is 1598607269. It was assigned to this organization in the NPPES registry on April 9, 2026.

Where is Mather Faculty Medical Affiliates, University Faculty Practice Corp located?

Mather Faculty Medical Affiliates, University Faculty Practice Corp is located at 1500 Route 112 Bldg 5, Port Jefferson Station, NY 11776. The listed phone number is (631) 828-3400.

What is Mather Faculty Medical Affiliates, University Faculty Practice Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mather Faculty Medical Affiliates, University Faculty Practice Corp enrolled in Medicare?

Yes. Mather Faculty Medical Affiliates, University Faculty Practice Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mather Faculty Medical Affiliates, University Faculty Practice Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Mather Faculty Medical Affiliates, University Faculty Practice Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Gastroenterology (11) and Nurse Practitioner (4). Of these, 14 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mather Faculty Medical Affiliates, University Faculty Practice Corp was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.